Superior Vena Cava Syndrome (SVCS) caused by mediastinal space-occupying lesions
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >=18 years old; 2. Imaging confirmed mediastinal space-occupying lesions accompanied by compression or obstruction of the superior vena cava; 3. The nature of mediastinal space-occupying lesions is unknown and requires pathological diagnosis through biopsy. 4. The patient cannot tolerate other biopsy methods (including EBUS-TBNA, CT-guided puncture, mediastinoscopy biopsy, etc.) due to their own conditions, anatomical location, technical limitations, risks of general anesthesia, etc. 5. With full informed consent and the signing of the informed consent form; 6. Those with objective indicators indicating a high risk of anesthesia or those who have been assessed by two senior anesthesiologists as having an excessively high risk of general anesthesia and are not suitable for it.
Exclusion criteria
Exclusion criteria: 1.Severe cardiopulmonary dysfunction and severe coagulation dysfunction (INR >1.5 or platelet count <50 ×10^9/L); 2. There is infection in the puncture path and no obvious vascular access available for TSVMB operation; 3. Severe allergy to contrast agents or local anesthetic drugs and unable to be pre-treated; 4. End-stage disease or life expectancy less than 3 months, even if the biopsy shows that the pathology cannot change the prognosis; 5. Pregnant or lactating women; 6. Situations that other researchers consider unsuitable for enrollment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of No Immediate Severe Complications Within 30 Minutes After TSVC-MB Biopsy; | — |
Secondary
| Measure | Time frame |
|---|---|
| The success rate of TSVC-MB biopsy (Obtaining a diagnostically positive specimen);Clarify the diagnosis time;The changes in postoperative treatment decisions;Comparison with other biopsy methods; | — |
Countries
China
Contacts
West China Hospital, Sichuan University